Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Grace Fuller

Individual provider Behavior Technician · NPI 1285335059

Jordan Grace Fuller is a Behavior Technician in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

304 Palm Ave
Statesboro, GA 30458-2445
Phone: (470) 399-6135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)

Record details

NPI number1285335059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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